Monkey Paw
TrinketRebirthUnlocked
How do you unlock Monkey Paw?
Verified starting unlockSource data confirms that no unlock is required.
If Isaac has half a heart after taking damage, drops a Black Heart. The effect can trigger up to three times, after which the trinket will disappear.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking Monkey Paw leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13